Active NPI
Kristine Isip-Torres, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1255548624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43156
- Practice address
- 4137 N 108TH Ave
Phoenix, AZ 85037-5459 - Phone
- (623) 877-7337
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43156 | AZ | Primary |
Addresses
Primary practice location
4137 N 108TH Ave
Phoenix, AZ 85037-5459
Mailing address
4137 N 108TH Ave
Phoenix, AZ 85037-5459
Phone (623) 877-7337
Other practice location 1
15351 W Bell Rd
Department of Pediatrics
Surprise, AZ 85374-4580
Phone (623) 583-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43156 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1336354984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1255548624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 N 108TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375459",
"telephone_number": "623-877-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 N 108TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375459",
"telephone_number": "623-877-7337"
}
],
"practiceLocations": [
{
"address_1": "15351 W Bell Rd",
"address_2": "Department of Pediatrics",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853744580",
"country_code": "US",
"telephone_number": "623-583-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISIP-TORRES",
"first_name": "KRISTINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "43156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.